NPI | 1215019617 |
---|---|
Former Name | STACIA RAPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2008-00687) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 24964) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2021-03-04 |